recreation-management

Application Form for Student Trip Leaders

BEFORE you begin filling-out this form, please read the Role Description for the position of Student Service Trip Leader, found on the Alternative Break Service Trip Program website at http://madisoncollege.edu/alternative-break-service-trip-program  Having read the role description, gather the following information BEFORE you begin filling-out this application form: (1) Title & Contact Information of a Madison College Faculty/Staff Member who serves as your Reference; (2) List of Agencies, where you have previously volunteered.

While it is not essential, that you have been a participant on a Madison College or other traveling Service Team, preference may be given to applicants who have successfully traveled & served on such teams in the past.

Information requested on this form is utilized to verify enrollment, prepare travel approval request forms, driver authorization applications, airline manifest requirements, participant lodging reservations, volunteer-group service-organization agreements & assignments, waiver & release of liability forms, emergency contact information, travel conduct agreements, etc.  Information on this form is accessed by Professional Staff Members from the Student Life Center, by the student who is the  Alternative Break Coordinator from the Volunteer Center Board of Directors & by Faculty/Staff Members selected to be Service Team Advisors.

Allow 30 minutes to complete this application form. Once started, it cannot be saved & returned to for completion at a later date. This form is completed when you hit "submit" at the end of the application.  You will receive confirmation of submission within 24 hours, via your email account.

While, speaking multiple languages is not a requirement of the Student Service Team Leader role, it may be helpful in some circumstances & may help to determine which Student Team Leader is appropriate for specific service locations.
If none, please indicate so.
While previous participation on a Madison College Service Trip Team is not essential, it may be advantageous for the applicant.
If none, please indicate so.
If you've not previously been a member of a Service Team, please indicate so. While it is not essential that you have previously been a member of a traveling Service Team, it may be advantageous for an applicant to have done so.
First ChoiceSecond ChoiceThird ChoiceFourth ChoiceNot Interested in this Service Trip
Environmental Restoration - Florida Everglades - Jan. 2013
Rebuilding after Hurricanes & the Oil Spill - New Orleans - Jan. 2013
Hunger & Homelessness - New York City - March 2013
Native & Exotic Wildlife - Florida- March 2013
If none, please indicate so.
If none, please indicate so.
If none, please indicate so.
If none, please indicate so.
If none, please indicate so.